National Provider Identifier Database

CINCINNATI PET SCAN LLC
Radiology


Contact Information

CINCINNATI PET SCAN, LLC
5575 CHEVIOT ROAD
WESTSIDE CT CENTER
CINCINNATI, OH45247
Phone: 513-385-8994
Fax: 513-385-3994
Website:
Specialty Taxonomy Code
* Radiology 261QR0200X

* Indicates primary specialty

NPI Profile & details for CINCINNATI PET SCAN, LLC

NPI Number 1851407217
Legal business name
LBN
CINCINNATI PET SCAN, LLC
Authorized official JOHN MATTES - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 08/21/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • OH Medicaid: 2464051

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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